Individual provider Active NPI

Olga P Demina, M.D.

  • Psychiatry Physician
  • Winchester, VA
National Provider Identifier
1467633768
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D66736 Issued in MD
Practice address
337 Westside Station Dr
Winchester, VA 22601-2840
Phone
(540) 536-4881
Fax
(540) 536-3274
NPI assigned
Nov 15, 2007
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D66736 MD Primary

Addresses

Primary practice location

337 Westside Station Dr
Winchester, VA 22601-2840

Mailing address

13121 Brook Lane
Hagerstown, MD 21742
Phone (301) 733-0330

Other practice location 1

13215 Brook Lane
Hagerstown, MD 21742
Phone (301) 733-0330

Other practice location 2

172 Linden Dr Ste 111
Winchester, VA 22601-2892
Phone (540) 536-4881

Other practice location 3

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 4

759 S Main St Ste 102
Woodstock, VA 22664-1154
Phone (540) 459-1262

Other practice location 5

13218 Brooklane Dr
Hagerstown, MD 21742-1435
Phone (301) 733-0330

Other practice location 6

759 S Main St Ste 320
Woodstock, VA 22664-1154
Phone (540) 459-1262

Other identifiers 1

IdentifierTypeStateIssuer
200911040MedicaidIN

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Odemina1459165@ValleyHealth.direct-ci.com
Direct Messaging Address Odemina1459165@ValleyHealth.direct-ci.com
Direct Messaging Address Odemina1459165@ValleyHealth.direct-ci.com
Direct Messaging Address Odemina1459165@ValleyHealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110926000114 MD Practitioner - Psychiatry 9537236500 Reassigns benefits to 2 organizations
I20241108003415 VA Practitioner - Psychiatry 9537236500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Wisconsin, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Practice addresses (Care Compare)

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Oct 31, 2024 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Oct 31, 2024 Accepting new patients
Shenandoah Memorial Hospital Inc. Psychiatry CurrentSince Oct 31, 2024 Accepting new patients
Brook Lane Health Services, Inc. CurrentSince Sep 1, 2011 Accepting new patients
Brook Lane Behavioral Services, Inc. Current Accepting new patients
Carroll Health Group, LLC Psychiatry CurrentSince Jan 1, 2021 Accepting new patients
Winchester Medical Center Psychiatry Current Accepting new patients
Winchester Medical Center Psychiatry CurrentSince Oct 31, 2024 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4540 Mack Ave
Ste B
Frederick, MD 21703
Phone (301) 698-5665

13218 Brooklane Dr
Hagerstown, MD 21742
Phone 3017330330184

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

172 Linden Dr
Ste 111
Winchester, VA 22601
Phone (540) 535-0269

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 320
Winchester, VA 22601

337 Westside Station Dr
Winchester, VA 22601
Phone (540) 536-4881

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

759 S Main St
Ste 102
Woodstock, VA 22664
Phone (540) 459-1262

759 S Main St
Ste 320
Woodstock, VA 22664
Phone (540) 459-1262

Interoperability endpoints

  • Direct secure messaging: odemina1459165@valleyhealth.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1467633768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 WESTSIDE STATION DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012840",
            "telephone_number": "540-536-4881",
            "fax_number": "540-536-3274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13215 Brook Lane",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "21742",
            "country_code": "US",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 Linden Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012892",
            "country_code": "US",
            "telephone_number": "540-536-4881",
            "fax_number": "540-536-3274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-1262",
            "fax_number": "540-459-1263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13218 Brooklane Dr",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217421435",
            "country_code": "US",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-1262",
            "fax_number": "540-459-1263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMINA",
        "first_name": "OLGA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D66736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200911040",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Odemina1459165@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "337 Westside Station Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Odemina1459165@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "172 Linden Dr Ste 111",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Odemina1459165@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Odemina1459165@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "759 S Main St Ste 102",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.